NPI | 1790106003 |
---|---|
Doing Business As | ADAMS AVE DENTAL |
Entity Type | Organization |
Authorized Contact | EVELYN CHAN Dentist/Owner 714-963-3555 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58085) |
Enumeration Date | 2014-01-04 |
Last Update Date | 2014-01-04 |